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Individual

DAISY RUBI ONTIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1441 CONSTITUTION BLVD, BLDG 200, FLOOR 1, SUITE 103, SALINAS, CA 93906-3100
(831) 755-4123
Mailing address
1615 BUNKER HILL WAY, SUITE 100, SALINAS, CA 93906-6013

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CA

Other

Enumeration date
05/24/2010
Last updated
05/24/2010
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